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Individual

DIANA ROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 HOMEPLACE DR, COVINGTON, GA 30016-8539
(762) 435-9110
Mailing address
35 HOMEPLACE DR, COVINGTON, GA 30016-8539

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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